Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $41.15 / $41.15	Facility		$41.15	$41.15	$41.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $41.15 / $41.15	Professional		$39.65	$41.15	$41.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $56.62 / $127.64	Facility		$34.78	$56.62	$127.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $41.31 / $47.10	Professional		$37.26	$41.31	$47.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $43.38 / $85.03	Facility		$42.14	$43.38	$85.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $35.43 / $35.43	Professional		$33.47	$35.43	$35.43
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $43.79	Professional		$41.31	$41.31	$43.79